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A case report: axillary nerve block in a patient with Myasthenia Gravis

Dimitar Nikolakov, Maria Georgieva, Kristian Stefanov, Ivana Stefanovska, Rositsa Tanova, Dimitar Monov


To date, there is a lack of abundant information about the usage of brachial plexus nerve blocks in patients with Myasthenia Gravis.

The choice of the regional anesthesia technique depends on the region and the surgical technique, the necessity for tourniquet placement to produce a “bloodless” field, the skills of the anesthesia team, and the individual anatomical characteristics and comorbidities of the patient.

Myasthenia Gravis is a chronic, progressive autoimmune disorder characterized by the autoimmune destruction or inactivation of postsynaptic acetylcholine receptors at the neuromuscular junction, leading to a reduced number of receptors, muscle weakness, and easy fatigability of skeletal muscles.


regional technique, brachial plexus, axillary block, myasthenia gravis

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